Inpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety

Objective: Anorexia nervosa (AN) is characterized by weight loss, distorted body image with fear of becoming fat and associated with anxiety, especially in relation to food intake. Anxiety in relation to meals and weight restoration remains a major challenge in the treatment of AN. We examined the e...

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Autores principales:	Magnus Sjögren, Ismail Kizilkaya, Rene Klinkby Støving
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	anorexia nervosa weight restoration treatment anxiety meal-intake post-meal Medicine R
Acceso en línea:	https://doaj.org/article/7a23312f914242bc8463de7a35f6be0f
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spelling	oai:doaj.org-article:7a23312f914242bc8463de7a35f6be0f2021-11-25T18:06:57ZInpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety10.3390/jpm111110792075-4426https://doaj.org/article/7a23312f914242bc8463de7a35f6be0f2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1079https://doaj.org/toc/2075-4426Objective: Anorexia nervosa (AN) is characterized by weight loss, distorted body image with fear of becoming fat and associated with anxiety, especially in relation to food intake. Anxiety in relation to meals and weight restoration remains a major challenge in the treatment of AN. We examined the effects of inpatient weight restoration treatment on levels of post-meal anxiety using visual analogue scale (VAS) ratings in patients with AN. Materials: Thirty-two patients with AN, all part of the PROspective Longitudinal all-comer inclusion study on Eating Disorders (PROLED) were followed over eight weeks with baseline psychometric measures and weekly VAS anxiety self-scoring. Methods: Apart from the weekly body mass index (BMI) and VAS, patients were characterized at baseline using the Eating Disorder Examination Questionnaire (EDE-Q), Eating Disorder Inventory (EDI), Symptom Check List 92 (SCL-92), Major Depression Inventory (MDI), and Autism Quotient (AQ). Results: The results showed a significant time effect, Wilks Lambda = 0.523, F = 3.12, <i>p</i> < 0.05 (power of 0.862), indicating a reduction in VAS scores of anxiety from baseline to week 8. There was no effect of baseline medication or scores of MDI on the results. BMI increased from a mean of 15.16 (week 1) to 17.35 (week 8). In comparison, patients dropping out after only three weeks (<i>n</i> = 31) also had a trend toward a reduction in VAS anxiety (ns). Conclusions: Inpatient weight restoration treatment is associated with a decrease in post-meal anxiety in AN, an effect that occurs early and becomes clinically significant in patients who stay in treatment.Magnus SjögrenIsmail KizilkayaRene Klinkby StøvingMDPI AGarticleanorexia nervosaweight restoration treatmentanxietymeal-intakepost-mealMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1079, p 1079 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anorexia nervosa weight restoration treatment anxiety meal-intake post-meal Medicine R
spellingShingle	anorexia nervosa weight restoration treatment anxiety meal-intake post-meal Medicine R Magnus Sjögren Ismail Kizilkaya Rene Klinkby Støving Inpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety
description	Objective: Anorexia nervosa (AN) is characterized by weight loss, distorted body image with fear of becoming fat and associated with anxiety, especially in relation to food intake. Anxiety in relation to meals and weight restoration remains a major challenge in the treatment of AN. We examined the effects of inpatient weight restoration treatment on levels of post-meal anxiety using visual analogue scale (VAS) ratings in patients with AN. Materials: Thirty-two patients with AN, all part of the PROspective Longitudinal all-comer inclusion study on Eating Disorders (PROLED) were followed over eight weeks with baseline psychometric measures and weekly VAS anxiety self-scoring. Methods: Apart from the weekly body mass index (BMI) and VAS, patients were characterized at baseline using the Eating Disorder Examination Questionnaire (EDE-Q), Eating Disorder Inventory (EDI), Symptom Check List 92 (SCL-92), Major Depression Inventory (MDI), and Autism Quotient (AQ). Results: The results showed a significant time effect, Wilks Lambda = 0.523, F = 3.12, <i>p</i> < 0.05 (power of 0.862), indicating a reduction in VAS scores of anxiety from baseline to week 8. There was no effect of baseline medication or scores of MDI on the results. BMI increased from a mean of 15.16 (week 1) to 17.35 (week 8). In comparison, patients dropping out after only three weeks (<i>n</i> = 31) also had a trend toward a reduction in VAS anxiety (ns). Conclusions: Inpatient weight restoration treatment is associated with a decrease in post-meal anxiety in AN, an effect that occurs early and becomes clinically significant in patients who stay in treatment.
format	article
author	Magnus Sjögren Ismail Kizilkaya Rene Klinkby Støving
author_facet	Magnus Sjögren Ismail Kizilkaya Rene Klinkby Støving
author_sort	Magnus Sjögren
title	Inpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety
title_short	Inpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety
title_full	Inpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety
title_fullStr	Inpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety
title_full_unstemmed	Inpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety
title_sort	inpatient weight restoration treatment is associated with decrease in post-meal anxiety
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/7a23312f914242bc8463de7a35f6be0f
work_keys_str_mv	AT magnussjogren inpatientweightrestorationtreatmentisassociatedwithdecreaseinpostmealanxiety AT ismailkizilkaya inpatientweightrestorationtreatmentisassociatedwithdecreaseinpostmealanxiety AT reneklinkbystøving inpatientweightrestorationtreatmentisassociatedwithdecreaseinpostmealanxiety
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Inpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety

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